Highland Hospital — Pricing
292 procedures published in this hospital's Machine-Readable File (MRF) — 289 with a comparable price, 3 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Procedures published 292
Lowest published price $14,965
Average published price $76,394
Highest published price $488,449
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Rates come from the hospital's own published price file and are medians across that insurer's plans. Your specific plan, network tier, and benefit design can differ — confirm with your insurer.
Showing all 292 procedures
Published charges
Showing all 289 procedures with a comparable published price (gross, cash, or insurance-negotiated median), sorted highest to lowest. Green = this hospital prices below the median; amber = above.
Across 43 procedures, this hospital's negotiated rates average ≈68% of what Medicare pays.
| DRG | Description | Published price | Cash price | vs. CA median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|---|
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $488,449 | $244,225 | $35,352 | +1282% | $26,682 | +1731% | ≈67% of Medicare |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $477,045 | $238,523 | $248,521 | +92% | $248,521 | +92% | — |
| 005 | TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,EXTREME | $477,045 | — | $189,963 | +151% | $164,641 | +190% | — |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $267,273 | $133,636 | $36,506 | +632% | $31,951 | +737% | ≈68% of Medicare |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $242,227 | $121,113 | $94,937 | +155% | $93,172 | +160% | ≈58% of Medicare |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $231,349 | $115,675 | $39,057 | +492% | $33,985 | +581% | — |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $228,793 | $114,397 | $57,493 | +298% | $46,402 | +393% | — |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $227,396 | $113,698 | $116,058 | +96% | $116,058 | +96% | — |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $224,674 | $112,337 | $36,661 | +513% | $33,555 | +570% | — |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $218,315 | $109,158 | $124,290 | +76% | $148,832 | +47% | ≈53% of Medicare |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $212,238 | $106,119 | $42,881 | +395% | $42,881 | +395% | — |
| 171 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK,MAJOR | $211,629 | — | $211,629 | — | $75,072 | +182% | — |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $206,461 | $103,230 | $49,765 | +315% | $40,362 | +412% | — |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $189,645 | $94,822 | $52,735 | +260% | $62,264 | +205% | — |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $186,416 | $93,208 | $37,933 | +391% | $31,105 | +499% | — |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $180,186 | $90,093 | $65,573 | +175% | $65,573 | +175% | — |
| 130 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,MAJOR | $178,168 | — | $23,289 | +665% | $23,289 | +665% | — |
| 760 | OTHER MENTAL HEALTH CONDITIONS AND DISORDERS,MAJOR | $172,663 | — | $21,880 | +689% | $20,895 | +726% | — |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $172,663 | $86,332 | $26,404 | +554% | $20,616 | +738% | — |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $171,951 | $85,976 | $77,817 | +121% | $77,817 | +121% | — |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $169,083 | $84,542 | $51,487 | +228% | $50,046 | +238% | — |
| 231 | MAJOR LARGE BOWEL PROCEDURES,MAJOR | $167,047 | — | $155,631 | +7% | $147,227 | +13% | — |
| 230 | MAJOR SMALL BOWEL PROCEDURES,MINOR | $166,138 | — | $93,713 | +77% | $58,096 | +186% | — |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $166,138 | $83,069 | $36,651 | +353% | $44,117 | +277% | — |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $162,211 | $81,105 | $46,332 | +250% | $50,463 | +221% | — |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $159,742 | $79,871 | $37,950 | +321% | $37,950 | +321% | — |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $151,547 | $75,773 | $21,356 | +610% | $15,680 | +867% | — |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $150,726 | $75,363 | $31,982 | +371% | $30,571 | +393% | — |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $145,313 | $72,656 | $81,281 | +79% | $77,990 | +86% | — |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $140,198 | $70,099 | $24,648 | +469% | $23,573 | +495% | — |
| 721 | POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS,EXTREME | $138,995 | — | $138,995 | — | $30,000 | +363% | — |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $137,691 | $68,846 | $36,816 | +274% | $44,606 | +209% | — |
| 892 | HIV WITH MAJOR HIV RELATED CONDITION,MAJOR | $135,098 | — | $135,098 | — | $39,896 | +239% | — |
| 466 | MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE,MAJOR | $127,240 | — | $96,507 | +32% | $96,507 | +32% | — |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $125,588 | $62,794 | $37,764 | +233% | $43,477 | +189% | — |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $125,002 | $62,501 | $40,163 | +211% | $58,809 | +113% | — |
| 305 | AMPUTATION OF LOWER LIMB EXCEPT TOES,MODERATE | $124,708 | — | $16,665 | +648% | $18,086 | +590% | — |
| 284 | DISORDERS OF GALLBLADDER AND BILIARY TRACT,MINOR | $123,698 | — | $16,450 | +652% | $16,450 | +652% | — |
| 710 | INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,MODERATE | $123,692 | — | $33,330 | +271% | $26,436 | +368% | — |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $120,026 | $60,013 | $43,483 | +176% | $38,666 | +210% | ≈73% of Medicare |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $116,402 | $58,201 | $50,011 | +133% | $50,011 | +133% | — |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $114,272 | $57,136 | $44,357 | +158% | $43,943 | +160% | — |
| 174 | PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,MINOR | $113,568 | — | $113,568 | — | $74,377 | +53% | — |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $113,497 | $56,748 | $30,887 | +267% | $39,887 | +185% | — |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $112,941 | $56,471 | $30,959 | +265% | $30,959 | +265% | — |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $112,511 | $56,255 | $49,631 | +127% | $50,394 | +123% | — |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $110,667 | $55,333 | $40,719 | +172% | $39,106 | +183% | ≈58% of Medicare |
| 462 | NEPHRITIS AND NEPHROSIS,EXTREME | $110,119 | — | $58,975 | +87% | $58,975 | +87% | — |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $110,000 | $55,000 | $40,263 | +173% | $35,628 | +209% | ≈69% of Medicare |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $109,544 | $54,772 | $39,013 | +181% | $33,255 | +229% | — |
| 192 | CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,MINOR | $107,629 | — | $14,368 | +649% | $14,368 | +649% | — |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $106,161 | $53,081 | $19,305 | +450% | $19,305 | +450% | — |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $106,141 | $53,070 | $35,532 | +199% | $32,496 | +227% | ≈73% of Medicare |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $105,524 | $52,762 | $51,985 | +103% | $51,985 | +103% | — |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $103,297 | $51,648 | $27,277 | +279% | $27,277 | +279% | — |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $103,182 | $51,591 | $37,214 | +177% | $52,075 | +98% | — |
| 152 | OTITIS MEDIA AND URI WITH MCC | $100,045 | $50,023 | $25,192 | +297% | $20,247 | +394% | — |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $99,647 | $49,823 | $50,562 | +97% | $59,500 | +67% | — |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $98,688 | $49,344 | $52,405 | +88% | $52,405 | +88% | ≈64% of Medicare |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $98,231 | $49,115 | $48,634 | +102% | $47,737 | +106% | — |
| 421 | MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS,MODERATE | $97,996 | — | $36,354 | +170% | $36,354 | +170% | — |
| 775 | ALCOHOL ABUSE AND DEPENDENCE,MINOR | $97,597 | — | $3,032 | +3119% | $3,032 | +3119% | — |
| 241 | PEPTIC ULCER AND GASTRITIS,MODERATE | $96,972 | — | $33,519 | +189% | $30,770 | +215% | — |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $96,434 | $48,217 | $37,213 | +159% | $31,159 | +209% | — |
| 100 | SEIZURES WITH MCC | $96,084 | $48,042 | $40,653 | +136% | $35,481 | +171% | ≈70% of Medicare |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $95,942 | $47,971 | $29,250 | +228% | $36,937 | +160% | — |
| 446 | URETHRAL AND TRANSURETHRAL PROCEDURES,MINOR | $95,626 | — | $17,700 | +440% | $17,700 | +440% | — |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $95,149 | $47,575 | $25,980 | +266% | $23,617 | +303% | ≈69% of Medicare |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $94,694 | $47,347 | $22,850 | +314% | $22,850 | +314% | — |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $94,532 | $47,266 | $37,921 | +149% | $37,387 | +153% | — |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $92,187 | $46,093 | $37,842 | +144% | $37,842 | +144% | ≈69% of Medicare |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $91,464 | $45,732 | $34,448 | +166% | $33,707 | +171% | ≈64% of Medicare |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $90,149 | $45,074 | $21,396 | +321% | $21,396 | +321% | ≈68% of Medicare |
| 364 | OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES,MINOR | $89,579 | — | $89,579 | — | $46,852 | +91% | — |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $89,559 | $44,779 | $40,563 | +121% | $40,642 | +120% | — |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $89,279 | $44,639 | $30,922 | +189% | $28,226 | +216% | — |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $87,487 | $43,744 | $42,775 | +105% | $39,958 | +119% | — |
| 263 | CHOLECYSTECTOMY,MINOR | $87,327 | — | $55,918 | +56% | $51,253 | +70% | — |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $87,319 | $43,659 | $35,675 | +145% | $31,563 | +177% | — |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $84,075 | $42,037 | $24,191 | +248% | $32,021 | +163% | — |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $82,740 | $41,370 | $38,631 | +114% | $36,792 | +125% | — |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $82,614 | $41,307 | $35,243 | +134% | $32,628 | +153% | — |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $82,095 | $41,048 | $29,252 | +181% | $27,275 | +201% | ≈72% of Medicare |
| 123 | NEUROLOGICAL EYE DISORDERS | $81,910 | $40,955 | $17,831 | +359% | $19,745 | +315% | — |
| 040 | SPINAL DISORDERS AND INJURIES,MODERATE | $81,195 | — | $74,257 | +9% | $74,257 | +9% | — |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $80,877 | $40,438 | $16,654 | +386% | $19,037 | +325% | — |
| 253 | OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,MODERATE | $80,410 | — | $53,746 | +50% | $57,454 | +40% | — |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $80,190 | $40,095 | $14,927 | +437% | $14,927 | +437% | — |
| 140 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE,MINOR | $80,100 | — | $84,217 | −5% | $60,098 | +33% | — |
| 113 | INFECTIONS OF UPPER RESPIRATORY TRACT,MODERATE | $80,019 | — | $48,760 | +64% | $36,167 | +121% | — |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $79,865 | $39,932 | $22,575 | +254% | $23,940 | +234% | ≈57% of Medicare |
| 385 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS,MAJOR | $79,569 | — | $34,588 | +130% | $27,617 | +188% | — |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $79,186 | $39,593 | $19,638 | +303% | $15,452 | +412% | — |
| 233 | APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,MINOR | $79,118 | — | $144,569 | −45% | $144,569 | −45% | — |
| 045 | CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,MINOR | $77,914 | — | $77,914 | — | $77,914 | +0% | — |
| 184 | MAJOR CHEST TRAUMA WITH CC | $77,706 | $38,853 | $23,711 | +228% | $22,432 | +246% | ≈68% of Medicare |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $77,011 | $38,506 | $19,072 | +304% | $18,807 | +309% | — |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $75,997 | $37,999 | $20,506 | +271% | $20,506 | +271% | — |
| 756 | ACUTE ANXIETY AND STRESS SYNDROMES,MINOR | $75,816 | — | $21,201 | +258% | $15,589 | +386% | — |
| 145 | ACUTE BRONCHITIS AND RELATED SYMPTOMS,MAJOR | $75,448 | — | $26,302 | +187% | $25,712 | +193% | — |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $75,431 | $37,716 | $35,113 | +115% | $34,192 | +121% | ≈72% of Medicare |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $74,922 | $37,461 | $19,096 | +292% | $19,096 | +292% | — |
| 050 | NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,EXTREME | $74,624 | — | $74,624 | — | $75,772 | −2% | — |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $74,624 | $37,312 | $67,560 | +10% | $59,533 | +25% | — |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $74,017 | $37,008 | $22,888 | +223% | $22,888 | +223% | ≈68% of Medicare |
| 133 | RESPIRATORY FAILURE,MINOR | $73,984 | — | $23,289 | +218% | $38,305 | +93% | — |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $73,585 | $36,793 | $28,966 | +154% | $26,776 | +175% | ≈66% of Medicare |
| 817 | INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,EXTREME | $73,187 | — | $56,278 | +30% | $39,173 | +87% | — |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $72,271 | $36,135 | $13,855 | +422% | $12,324 | +486% | — |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $72,170 | $36,085 | $18,070 | +299% | $17,559 | +311% | — |
| 773 | OPIOID ABUSE AND DEPENDENCE,MAJOR | $71,835 | — | $71,835 | — | $87,384 | −18% | — |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $71,835 | $35,918 | $19,584 | +267% | $16,699 | +330% | ≈65% of Medicare |
| 602 | CELLULITIS WITH MCC | $71,746 | $35,873 | $31,970 | +124% | $30,598 | +134% | ≈71% of Medicare |
| 234 | APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,MINOR | $71,688 | — | $102,573 | −30% | $102,573 | −30% | — |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $71,663 | $35,832 | $29,747 | +141% | $31,264 | +129% | — |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $71,197 | $35,598 | $22,033 | +223% | $22,033 | +223% | — |
| 101 | SEIZURES WITHOUT MCC | $70,112 | $35,056 | $20,461 | +243% | $20,461 | +243% | ≈68% of Medicare |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $69,882 | $34,941 | $15,411 | +353% | $14,797 | +372% | — |
| 682 | RENAL FAILURE WITH MCC | $69,845 | $34,923 | $32,520 | +115% | $29,064 | +140% | ≈73% of Medicare |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $68,683 | $34,341 | $49,382 | +39% | $39,973 | +72% | — |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $67,900 | $33,950 | $15,799 | +330% | $14,583 | +366% | — |
| 292 | HEART FAILURE AND SHOCK WITH CC | $67,628 | $33,814 | $19,118 | +254% | $16,371 | +313% | — |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $66,778 | $33,389 | $39,360 | +70% | $38,101 | +75% | — |
| 199 | HYPERTENSION,MINOR | $66,422 | — | $36,952 | +80% | $33,787 | +97% | — |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $66,195 | $33,097 | $33,256 | +99% | $30,010 | +121% | — |
| 540 | OSTEOMYELITIS WITH CC | $66,182 | $33,091 | $28,728 | +130% | $26,676 | +148% | — |
| 637 | DIABETES WITH MCC | $65,396 | $32,698 | $31,753 | +106% | $30,100 | +117% | — |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $65,218 | $32,609 | $23,503 | +177% | $24,914 | +162% | — |
| 813 | COAGULATION DISORDERS | $64,753 | $32,376 | $33,296 | +94% | $33,296 | +94% | — |
| 663 | OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,MINOR | $64,260 | — | $33,907 | +90% | $33,103 | +94% | — |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $63,471 | $31,736 | $19,185 | +231% | $15,889 | +299% | — |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $63,280 | $31,640 | $21,886 | +189% | $22,098 | +186% | ≈69% of Medicare |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $62,519 | $31,259 | $28,515 | +119% | $28,050 | +123% | ≈68% of Medicare |
| 501 | MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,MINOR | $62,505 | — | $39,619 | +58% | $39,619 | +58% | — |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $62,505 | $31,253 | $18,139 | +245% | $17,118 | +265% | — |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $62,370 | $31,185 | $33,325 | +87% | $32,877 | +90% | — |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $62,170 | $31,085 | $34,839 | +78% | $30,235 | +106% | ≈70% of Medicare |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $61,798 | $30,899 | $22,628 | +173% | $20,901 | +196% | — |
| 047 | TRANSIENT ISCHEMIA,MINOR | $61,555 | — | $61,555 | — | $56,677 | +9% | — |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $61,288 | $30,644 | $15,462 | +296% | $12,460 | +392% | — |
| 420 | DIABETES,MINOR | $60,747 | — | $70,175 | −13% | $50,919 | +19% | — |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $60,734 | $30,367 | $20,344 | +199% | $15,855 | +283% | — |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $60,167 | $30,083 | $29,623 | +103% | $27,543 | +118% | — |
| 283 | OTHER DISORDERS OF THE LIVER,MINOR | $59,659 | — | $40,150 | +49% | $39,955 | +49% | — |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $58,269 | $29,134 | $20,108 | +190% | $18,488 | +215% | — |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $57,677 | $28,839 | $17,265 | +234% | $17,124 | +237% | — |
| 052 | ALTERATION IN CONSCIOUSNESS,MINOR | $57,640 | — | $41,111 | +40% | $32,031 | +80% | — |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $56,807 | $28,403 | $29,481 | +93% | $25,463 | +123% | ≈71% of Medicare |
| 531 | FEMALE REPRODUCTIVE SYSTEM INFECTIONS,MODERATE | $56,539 | — | $56,539 | — | $35,138 | +61% | — |
| 138 | BRONCHIOLITIS AND RSV PNEUMONIA,MAJOR | $56,219 | — | $19,492 | +188% | $19,119 | +194% | — |
| 149 | DYSEQUILIBRIUM | $55,146 | $27,573 | $16,594 | +232% | $18,096 | +205% | — |
| 197 | PERIPHERAL AND OTHER VASCULAR DISORDERS,MAJOR | $54,552 | — | $21,977 | +148% | $21,941 | +149% | — |
| 639 | DIABETES WITHOUT CC/MCC | $54,523 | $27,262 | $13,910 | +292% | $13,910 | +292% | — |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $54,467 | $27,234 | $24,948 | +118% | $31,321 | +74% | — |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $54,302 | $27,151 | $18,081 | +200% | $18,081 | +200% | — |
| 683 | RENAL FAILURE WITH CC | $54,240 | $27,120 | $19,733 | +175% | $19,130 | +184% | ≈65% of Medicare |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $53,994 | $26,997 | $24,075 | +124% | $23,319 | +132% | — |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $53,761 | $26,880 | $16,412 | +228% | $17,303 | +211% | — |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $53,734 | $26,867 | $17,522 | +207% | $17,620 | +205% | — |
| 048 | PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS,MINOR | $53,709 | — | $53,709 | — | $34,401 | +56% | — |
| 427 | THYROID DISORDERS,MODERATE | $53,506 | — | $132,794 | −60% | $132,794 | −60% | — |
| 644 | ENDOCRINE DISORDERS WITH CC | $53,506 | $26,753 | $22,941 | +133% | $23,198 | +131% | — |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $53,255 | $26,628 | $16,299 | +227% | $14,514 | +267% | — |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $53,197 | $26,599 | $17,638 | +202% | $17,921 | +197% | — |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $53,025 | $26,512 | $17,347 | +206% | $17,038 | +211% | ≈67% of Medicare |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $52,672 | $26,336 | $27,470 | +92% | $26,580 | +98% | ≈69% of Medicare |
| 816 | TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,MODERATE | $52,545 | — | $14,638 | +259% | $14,638 | +259% | — |
| 893 | HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,MODERATE | $52,469 | — | $52,469 | — | $49,110 | +7% | — |
| 539 | OSTEOMYELITIS WITH MCC | $52,175 | $26,088 | $41,277 | +26% | $37,609 | +39% | — |
| 204 | SYNCOPE AND COLLAPSE,MINOR | $52,019 | — | $18,004 | +189% | $18,004 | +189% | — |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $51,875 | $25,938 | $18,002 | +188% | $18,002 | +188% | — |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $51,761 | $25,880 | $23,141 | +124% | $23,141 | +124% | — |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $51,024 | $25,512 | $31,166 | +64% | $27,808 | +83% | — |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $50,871 | $25,435 | $17,817 | +186% | $17,674 | +188% | ≈71% of Medicare |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $50,604 | $25,302 | $15,267 | +231% | $14,415 | +251% | — |
| 134 | PULMONARY EMBOLISM,MINOR | $50,279 | — | $23,289 | +116% | $23,289 | +116% | — |
| 194 | HEART FAILURE,MINOR | $50,097 | — | $18,204 | +175% | $18,204 | +175% | — |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $49,766 | $24,883 | $20,725 | +140% | $16,968 | +193% | — |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $49,054 | $24,527 | $38,187 | +28% | $32,859 | +49% | — |
| 890 | HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,MODERATE | $48,975 | — | $48,975 | — | $48,975 | +0% | — |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $48,930 | $24,465 | $13,683 | +258% | $15,183 | +222% | — |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $48,506 | $24,253 | $13,318 | +264% | $13,361 | +263% | — |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $48,073 | $24,036 | $19,569 | +146% | $19,569 | +146% | — |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $48,055 | $24,028 | $23,369 | +106% | $20,232 | +138% | — |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $47,402 | $23,701 | $22,024 | +115% | $22,024 | +115% | — |
| 530 | FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,MODERATE | $47,318 | — | $47,318 | +0% | $40,040 | +18% | — |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $47,300 | $23,650 | $22,641 | +109% | $21,275 | +122% | — |
| 282 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY,MINOR | $47,269 | — | $16,097 | +194% | $19,227 | +146% | — |
| 603 | CELLULITIS WITHOUT MCC | $47,227 | $23,613 | $19,553 | +142% | $18,530 | +155% | ≈71% of Medicare |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $47,154 | $23,577 | $17,322 | +172% | $17,322 | +172% | ≈67% of Medicare |
| 252 | MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE,MINOR | $46,483 | — | $68,508 | −32% | $68,508 | −32% | ≈13% of Medicare |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $45,797 | $22,899 | $23,767 | +93% | $20,422 | +124% | — |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $45,287 | $22,643 | $16,776 | +170% | $16,776 | +170% | — |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $45,034 | $22,517 | $14,134 | +219% | $15,038 | +199% | — |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $45,033 | $22,516 | $22,197 | +103% | $20,957 | +115% | — |
| 347 | OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES,MODERATE | $44,915 | — | $50,614 | −11% | $40,548 | +11% | — |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $44,888 | $22,444 | $17,762 | +153% | $21,056 | +113% | — |
| 249 | OTHER GASTROENTERITIS, NAUSEA AND VOMITING,MINOR | $44,874 | — | $23,643 | +90% | $20,610 | +118% | — |
| 248 | MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,MODERATE | $44,784 | — | $23,643 | +89% | $34,146 | +31% | — |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $43,969 | $21,985 | $20,896 | +110% | $20,181 | +118% | ≈60% of Medicare |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $43,793 | $21,896 | $18,330 | +139% | $17,298 | +153% | — |
| 812 | POISONING OF MEDICINAL AGENTS,MODERATE | $43,528 | — | $20,488 | +112% | $20,488 | +112% | ≈43% of Medicare |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $42,853 | $21,427 | $24,930 | +72% | $24,386 | +76% | ≈68% of Medicare |
| 054 | MIGRAINE AND OTHER HEADACHES,MINOR | $42,783 | — | $32,473 | +32% | $30,502 | +40% | — |
| 638 | DIABETES WITH CC | $42,512 | $21,256 | $20,361 | +109% | $19,661 | +116% | ≈71% of Medicare |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $42,393 | $21,197 | $20,463 | +107% | $20,463 | +107% | ≈67% of Medicare |
| 304 | HYPERTENSION WITH MCC | $41,921 | $20,960 | $26,080 | +61% | $26,080 | +61% | — |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $41,636 | $20,818 | $17,087 | +144% | $14,648 | +184% | — |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $41,415 | $20,708 | $25,552 | +62% | $18,133 | +128% | — |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $41,130 | $20,565 | $17,795 | +131% | $17,578 | +134% | — |
| 246 | GASTROINTESTINAL VASCULAR INSUFFICIENCY,MODERATE | $40,940 | — | $23,643 | +73% | $33,983 | +20% | — |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $40,886 | $20,443 | $32,248 | +27% | $28,140 | +45% | — |
| 144 | RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES,MINOR | $40,784 | — | $38,998 | +5% | $30,553 | +33% | — |
| 251 | ABDOMINAL PAIN,MAJOR | $40,656 | — | $34,689 | +17% | $46,295 | −12% | — |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $40,572 | $20,286 | $21,363 | +90% | $21,363 | +90% | — |
| 139 | OTHER PNEUMONIA,MINOR | $40,051 | — | $30,480 | +31% | $23,612 | +70% | — |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $39,967 | $19,984 | $42,463 | −6% | $34,459 | +16% | — |
| 312 | SYNCOPE AND COLLAPSE | $39,852 | $19,926 | $19,342 | +106% | $19,342 | +106% | ≈67% of Medicare |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $39,247 | $19,624 | $18,528 | +112% | $18,528 | +112% | — |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $39,044 | $19,522 | $20,401 | +91% | $18,072 | +116% | — |
| 426 | NON-HYPOVOLEMIC SODIUM DISORDERS,MODERATE | $39,039 | — | $189,537 | −79% | $142,326 | −73% | — |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $38,556 | $19,278 | $34,802 | +11% | $31,300 | +23% | — |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $38,238 | $19,119 | $35,591 | +7% | $34,273 | +12% | — |
| 103 | HEADACHES WITHOUT MCC | $37,764 | $18,882 | $18,874 | +100% | $21,280 | +77% | — |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $37,526 | $18,763 | $22,552 | +66% | $22,468 | +67% | — |
| 244 | DIVERTICULITIS AND DIVERTICULOSIS,MINOR | $37,017 | — | $40,063 | −8% | $41,591 | −11% | — |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $36,828 | $18,414 | $11,539 | +219% | $9,940 | +270% | — |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $36,754 | $18,377 | $15,280 | +141% | $20,781 | +77% | — |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $36,387 | $18,193 | $26,770 | +36% | $26,770 | +36% | — |
| 380 | SKIN ULCERS,MODERATE | $36,292 | — | $39,627 | −8% | $39,627 | −8% | — |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $35,805 | $17,902 | $18,150 | +97% | $18,150 | +97% | — |
| 774 | COCAINE ABUSE AND DEPENDENCE,MINOR | $35,719 | — | $3,032 | +1078% | $3,032 | +1078% | — |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $35,674 | $17,837 | $19,176 | +86% | $18,602 | +92% | — |
| 424 | OTHER ENDOCRINE DISORDERS,MINOR | $35,110 | — | $49,209 | −29% | $42,415 | −17% | — |
| 247 | INTESTINAL OBSTRUCTION,MINOR | $35,032 | — | $23,643 | +48% | $21,663 | +62% | — |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $34,705 | $17,352 | $28,553 | +22% | $27,401 | +27% | — |
| 425 | OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,MODERATE | $34,121 | — | $34,316 | −1% | $26,598 | +28% | — |
| 111 | VERTIGO AND OTHER LABYRINTH DISORDERS,MINOR | $33,952 | — | $33,952 | +0% | $32,376 | +5% | — |
| 344 | OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS,MINOR | $33,701 | — | $56,127 | −40% | $44,546 | −24% | — |
| 280 | ALCOHOLIC LIVER DISEASE,MINOR | $33,645 | — | $34,867 | −4% | $30,828 | +9% | ≈28% of Medicare |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $33,364 | $16,682 | $19,842 | +68% | $19,842 | +68% | ≈68% of Medicare |
| 137 | MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,MODERATE | $33,289 | — | $31,048 | +7% | $27,861 | +19% | — |
| 143 | OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES,MODERATE | $32,609 | — | $68,616 | −52% | $52,908 | −38% | — |
| 201 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,MINOR | $32,530 | — | $15,031 | +116% | $14,053 | +131% | — |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $32,530 | $16,265 | $13,384 | +143% | $13,384 | +143% | — |
| 043 | MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES,MINOR | $32,341 | — | $32,341 | — | $46,703 | −31% | — |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $31,878 | $15,939 | $21,460 | +49% | $17,724 | +80% | — |
| 469 | ACUTE KIDNEY INJURY,MINOR | $31,766 | — | $65,788 | −52% | $65,788 | −52% | — |
| 770 | DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE,MINOR | $31,226 | — | $23,887 | +31% | $18,956 | +65% | — |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $30,669 | $15,335 | $36,658 | −16% | $36,658 | −16% | — |
| 313 | CHEST PAIN | $30,562 | $15,281 | $15,837 | +93% | $16,440 | +86% | — |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $30,219 | $15,110 | $13,824 | +119% | $13,824 | +119% | — |
| 058 | OTHER DISORDERS OF NERVOUS SYSTEM,MINOR | $30,199 | — | $38,308 | −21% | $30,243 | −0% | — |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $30,082 | $15,041 | $19,138 | +57% | $19,138 | +57% | — |
| 351 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,MINOR | $29,942 | — | $33,399 | −10% | $36,505 | −18% | — |
| 042 | DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,MODERATE | $29,838 | — | $39,018 | −24% | $39,018 | −24% | — |
| 203 | CHEST PAIN,MINOR | $29,069 | — | $15,464 | +88% | $12,252 | +137% | — |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $28,824 | $14,412 | $14,880 | +94% | $16,288 | +77% | — |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $28,186 | $14,093 | $24,000 | +17% | $17,226 | +64% | — |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $28,083 | $14,041 | $13,326 | +111% | $12,999 | +116% | — |
| 463 | KIDNEY AND URINARY TRACT INFECTIONS,MINOR | $27,886 | — | $101,662 | −73% | $89,207 | −69% | — |
| 465 | URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,MINOR | $27,708 | — | $38,541 | −28% | $32,443 | −15% | — |
| 383 | CELLULITIS AND OTHER SKIN INFECTIONS,MINOR | $27,681 | — | $28,065 | −1% | $27,426 | +1% | — |
| 720 | SEPTICEMIA AND DISSEMINATED INFECTIONS,MINOR | $27,219 | — | $27,219 | — | $45,066 | −40% | — |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $27,211 | $13,606 | $15,600 | +74% | $15,600 | +74% | — |
| 053 | SEIZURE,MINOR | $27,058 | — | $20,455 | +32% | $20,455 | +32% | — |
| 141 | ASTHMA,MINOR | $26,417 | — | $47,696 | −45% | $37,267 | −29% | — |
| 566 | ANTEPARTUM WITHOUT O.R. PROCEDURE,MINOR | $26,164 | — | $16,607 | +58% | $14,716 | +78% | — |
| 662 | SICKLE CELL ANEMIA CRISIS,MINOR | $26,017 | — | $63,279 | −59% | $54,562 | −52% | — |
| 198 | ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,MINOR | $25,829 | — | $15,549 | +66% | $15,549 | +66% | — |
| 311 | ANGINA PECTORIS | $25,829 | $12,914 | $15,502 | +67% | $15,502 | +67% | — |
| 844 | PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,MINOR | $25,122 | — | $26,533 | −5% | $21,847 | +15% | — |
| 935 | NON-EXTENSIVE BURNS | $25,122 | $12,561 | $43,274 | −42% | $31,701 | −21% | — |
| 254 | OTHER DIGESTIVE SYSTEM DIAGNOSES,MINOR | $25,016 | — | $38,836 | −36% | $38,836 | −36% | — |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $25,016 | $12,508 | $14,128 | +77% | $14,128 | +77% | — |
| 694 | URINARY STONES WITHOUT MCC | $24,630 | $12,315 | $17,347 | +42% | $17,345 | +42% | — |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $23,938 | $11,969 | $40,213 | −40% | $40,213 | −40% | — |
| 245 | INFLAMMATORY BOWEL DISEASE,MINOR | $23,314 | — | $95,281 | −76% | $72,076 | −68% | — |
| 082 | EYE INFECTIONS AND OTHER EYE DISORDERS,MODERATE | $22,985 | — | $46,288 | −50% | $36,489 | −37% | — |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $22,847 | $11,423 | $16,592 | +38% | $12,895 | +77% | — |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $22,742 | $11,371 | $21,449 | +6% | $21,449 | +6% | — |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $21,457 | $10,728 | $34,467 | −38% | $27,316 | −21% | — |
| 342 | FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK,MINOR | $19,591 | — | $23,289 | −16% | $16,487 | +19% | — |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $18,979 | $9,489 | $18,126 | +5% | $18,126 | +5% | — |
| 142 | INTERSTITIAL AND ALVEOLAR LUNG DISEASES,MAJOR | $17,090 | — | $34,906 | −51% | $34,906 | −51% | — |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $17,090 | $8,545 | $38,951 | −56% | $32,637 | −48% | — |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $16,970 | $8,485 | $23,396 | −27% | $23,488 | −28% | — |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $15,907 | $7,954 | $35,961 | −56% | $34,017 | −53% | — |
| 861 | SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS,MINOR | $14,965 | — | $14,965 | — | $26,085 | −43% | — |
Procedures with negotiated rates only
These 3 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | — | 14 plans |
| 885 | PSYCHOSES | — | 14 plans |
| 750 | SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS,EXTREME | — | 11 plans |
No procedures match that keyword.